Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $3,691.00 / $7,629.00	Facility		$130.49	$3,691.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $83.62 / $1,036.51 / $4,398.00	Facility	50	$83.62	$1,036.51	$4,398.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.70 / $25.70 / $38.59	Facility	52	$25.70	$25.70	$38.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $54.95 / $121.81	Professional		$29.37	$54.95	$121.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.19 / $180.09 / $270.13	Professional	50	$89.19	$180.09	$270.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.45 / $30.12 / $54.64	Professional	52	$19.45	$30.12	$54.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $78.98 / $127.68	Professional		$36.94	$78.98	$127.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.96 / $114.63 / $186.36	Professional	50	$56.96	$114.63	$186.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $72.41 / $115.97	Professional		$48.46	$72.41	$115.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $79.73 / $92.77	Professional		$74.31	$79.73	$92.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $70.66 / $70.66	Facility		$70.66	$70.66	$70.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $97.87 / $104.07	Professional		$41.50	$97.87	$104.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $72.28 / $133.90	Professional		$44.17	$72.28	$133.90